Purposeful Entrepreneur - 90 Days To Your Personal Brand Application Form
Coaching Application Form for the 'Next Level' 90 Day Signature 1-1 Programme 2017
Preferred Method for Call (listed in my order of preference)
Facebook Video call
Facebook Voice call
Your Google/Skype/Facebook contact
Phone number (including country code)
Where in the world are you located?
Tell me about your current or potential business... if you have one
How many years have you been in business? (if applicable)
What is your website url if you have one?
What attracts you to this 1-1 Programme?
Why do you think you would be a great candidate for this programme?
What is your big dream for your life & business? (Don't hold back, the bigger the better!)
Where do you lack clarity right now?
What are three things that are holding you back from having your dream lifestyle?
What is your average monthly income from your business if any?
$1000 - $3000
$3000 - $6000
$6000 - $10,000
What are three goals you would like to achieve in the next 6-12 months?
What has stopped you from reaching these goals in the past?
Where did you learn about my Programmes? (if referred by an individual, please provide full name)
Do you have or are you willing to find the means to invest in this programme? (enter payment details)
Is there anyone else (spouse/partner) who will be involved in your decision to invest in this programme?
If so, how do they feel about your interest in investing in this programme at this time?
How motivated are you to reach your goals and get the business clarity you need at this time? (on a scale from 1-10)
Do you have any final thoughts that you'd like to share with me as I consider your application?
Congratulations on taking a great step forward and Thank you for the time you've taken to consider these questions and answer in detail. I'm excited to move forward by reviewing your story in full.
I will review your application within the next 24hrs and will be in contact within 48hrs via email in the first instance.
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